The new health care law known as the Affordable Care Act (ACA) allocates money for each state to cover more uninsured people through Medicaid. It’s a great deal for states, since these federal dollars will cover 100% of costs in the first few years and will ultimately pay for 90% of the yearly costs of this coverage. But because last year’s Supreme Court decision made accepting these funds optional, in states that choose to turn down the money, some people will earn too little to qualify for tax credits to purchase coverage in the new health insurance marketplace, yet won’t be able to obtain coverage through Medicaid. In other words, these people will fall into a “coverage gap” and will get no help toward affording health coverage, while some people who make more money will still get help.

Sound scary and unfair to you? You aren’t alone. Seven out of ten survey respondents say they are concerned about this “coverage gap” and think their state should accept the money to avoid the gap.

As a group advocating for South Carolina to accept the federal dollars, we appreciate this study. We certainly see this "on the ground" here in SC, though the message does not seem to be reaching our full General Assembly. Thank you for reminding us that we are not alone in our belief that this unprecedented opportunity for extending coverage would be life-changing and important to many of our fellow South Carolinians. Keep up the great work!